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A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel

Svensson, Pia LU ; Sundbeck, Mats LU ; Persson, Kristina Ingemarsdotter; Stafström, Martin LU ; Östergren, Per Olof LU ; Mannheimer, Louise and Agardh, Anette LU (2018) In Travel Medicine and Infectious Disease
Abstract

Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were... (More)

Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were pooled to generate a combined estimate. Result: Forty-nine articles qualified for inclusion. A heterogeneity test indicated variation across studies. The pooled prevalence of casual travel sex was 35% and prevalence of non-condom use 17%. Expectations of casual sex strongly predicted sex with a new partner when travelling abroad. Planning to have sex indicated condom use. Conclusion: The studies largely represented sub-groups of risk-taking populations from a European context, indicating substantial knowledge gaps. Studies investigating migrants travelling to visit friends and relatives, older travellers, and female travelers are needed. Post–travel harm reduction activities may serve as a focus for future interventions.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Meta-analysis, Sexual risk-taking, Sexually transmitted infections, Travel
in
Travel Medicine and Infectious Disease
publisher
Elsevier
external identifiers
  • scopus:85044580186
ISSN
1477-8939
DOI
10.1016/j.tmaid.2018.03.002
language
English
LU publication?
yes
id
500b5099-b4f3-4cc0-97fe-f246d0f29799
date added to LUP
2018-04-12 14:11:12
date last changed
2018-10-28 13:41:47
@article{500b5099-b4f3-4cc0-97fe-f246d0f29799,
  abstract     = {<p>Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were pooled to generate a combined estimate. Result: Forty-nine articles qualified for inclusion. A heterogeneity test indicated variation across studies. The pooled prevalence of casual travel sex was 35% and prevalence of non-condom use 17%. Expectations of casual sex strongly predicted sex with a new partner when travelling abroad. Planning to have sex indicated condom use. Conclusion: The studies largely represented sub-groups of risk-taking populations from a European context, indicating substantial knowledge gaps. Studies investigating migrants travelling to visit friends and relatives, older travellers, and female travelers are needed. Post–travel harm reduction activities may serve as a focus for future interventions.</p>},
  author       = {Svensson, Pia and Sundbeck, Mats and Persson, Kristina Ingemarsdotter and Stafström, Martin and Östergren, Per Olof and Mannheimer, Louise and Agardh, Anette},
  issn         = {1477-8939},
  keyword      = {Meta-analysis,Sexual risk-taking,Sexually transmitted infections,Travel},
  language     = {eng},
  month        = {03},
  publisher    = {Elsevier},
  series       = {Travel Medicine and Infectious Disease},
  title        = {A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel},
  url          = {http://dx.doi.org/10.1016/j.tmaid.2018.03.002},
  year         = {2018},
}